HomeMy WebLinkAbout3100 TAFT WAY - Building Permits Applicant to fill in all spaces except those within heavy border lines and sign all appropriate declarations. - W--5/12
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CITY OF GOSTA MESA CONSTRUCTION PERMIT �j a NO.
3 W 7 q T CT NO. LOT UNIT NO. A.P.# (L{ ` - zone .#''
rs !�7 f ! / vCJ
s Prcipct Andress '•� t7 p TA F'j" _ JL- - - $ Main Building: Accessory Building:
/� / ' TYPE OF CONSTRUCTION LJ NEW ADD L=I ALTERATION Li REPAIR , E 7
Applicant's Mailing Address CO r. -' c' front •� I
r _ ❑ CONVERSION ❑ DEMOLISH ❑ OTHER EX-LSi k/ C F T 2C /T - 0
Owner's Name - Phone 1ST-/a�'i7 a CRIPTION $F WORK/USE •F @LDG. t.-' + a : � T- - - - •a. B Rear O 1 �i N
Address ��a� TK f� AJC - - '��..+� O n dl _ +L l A I
p� t-'I I b(3 r TYPE OF PERMIT ■ GRADING ■ FOUNDATION F2 STRUCTUR• C Right S. / 1 • . �ps.fc N
Arch/Eng. A 4u� /Q I `e (MIA License No. K y� /; t G
X7.3 VJ . JL € Qd µ`C/• t m ❑ TENANT ❑J EI__F,CTR ICAL QPLUMBIINCz ❑ MECH NICAC S Left �I :r R 9 I„.j4� 1i R
Address S �L�/.,V /1
-
,/ �/ $'/ El OTHER PfAJ C(H 04 4. I Ping. Ref.# + Parking Req./Provided E
Contractor's Name/`oMB6� (-d/1 CrT one7Sr-417
PROJECT DESCRIPTION SQ. FT. OCCUPANCY (3•3 t 0
Address(mailing) � ��� 't'� �� /' �'=— M J, ups_Planning Notes: Ca r' - 'c-C'l J/4 it., Cover- Q ail/x M
12/9105—.7 CONSTRUCTION TYPE, Id VALUATION$�27 I / / fit.,
y T
City License No. ZONE GRADING CU.YDS. ACRES 4 /Ore i 4-1•ON U/S I f -
LICENSED CONTRACTOR DECLARATION //�� /l S
I hereby affirm that I am licensed under provisions of Charter 9(commenting Remarks: CpC 2.7.3_g�s. •�C.�_e_44,to. .�
•
with section 7000) of Division 3 of the Business and Professions Code, and ` 1
my license is in full re and effect. / •
F -/�!/g� ELECTRICAL FEES
License Class o cense-�a�_� J� rq„^.•pC `y 7 /ttai
Date ^^ S �T Signature /��/ / PLUMBING FEES Automatic Washer Transformer ❑ 15-50 KW
WORKERS' COMPENSATION DE R cab Construction Pole Sub. ❑ 50+ KW
I hereby affirm that I have a certif cafe of consent to self-insure or a certificate Bar Sink Showers
A4 of Workers' Compensation Insurance, or a certified copy thereof (Section Backflow Preventer Service Sink Cooking Unit Meter ❑up to 100 amps
3800, Lab. C.) 'l •
^ Dishwasher Meter Dover 100 amps
PnliEy No.�n7z�� s' Company .4 Backflow Irrigation Sewer Cap .- -
No ,,may Certified copy is hereby furnished. �• Dryers ❑Gas DElectric Sub Panel
jo
Certifi tl c p is filed with the city Bulldi Di isi - Bathtubs Sewer Connection i"-.
Date s Applic ����/// Fan
EXEMff 9 • INKO� Clarifiers Solar Collectors Motors 00-1 HP ❑1%-8
P ON FROM WORKERS'dO S�TION DECLARATION(
(This section need not be completed i he permit Is for one hundred ($100) or Dishwasher / F.A.U. Inc.Solar ❑9-15 HP 016-15+
less).I Solar Piping
ltno t in the performance in of the work for which this permit is t to I r i Fixtures Microwave 7t✓
shall not ploy any person f any manner so as to become subject to the Drinking Fountains Solar Tank 1
Workers' npensation Laws California. Device Boxes PoleLight
Date Signature • Floor Drains Swimming Pool w/Spa ' ' , . 9
NOTICE: after making this declaration', you should become subject to the - O Outlets Range -
Workers' C mpensation provisions of the Labor Code, you must forthwith Floor Sinks rinal / - -.
•
comply with such provisions or•this permit shall be deemed revoked. -
CONSTRUCTION LENDING AGENCY Gas Serviee Outlets Water Closet _Switches • Sign / 5..T,
I hereby affirm that there is a construction lending agency for the performance / l
of the work for which this permit is issued (Section 3097 Civ. C.) Interceptors Water Heater Garbage.Disposnr, Standing Sections
Lender's Name
Lender's Address Kitchen Sink Water Service Generator 00-5 KW 05-15 KW Trash Compactor
OWNER BUILDER DECLARATION - -
I hereby affirm that I am exempt from the Contractor's License Law for the Lavatories Auto-Wash
following reason (Section 7031.5 Business and Professional Code: Any city or - .
county which requires a permit to construct,alter,improve,demolish or repair P-Trap Laundry Trays '
any structure, prior to its issuance, also requires the applicant for such permit
to file a signed statement that he/she is licensed pursuant to the provisions of Roof Drains / -
the Contractor's License Law (Chapter 9 (commencing with Section 7000) of -
Division 3 of the Business and Professions Code) or that he/she is exempt Reinspection Fee, I $15 Issue Fee $/5:-----00
therefrom and the basis for the alleged exemption. Any violation of Section
7031.5 by any applicant for a permit subjects the applicant to a civil
enalty of not more than five hundred dollars($500). DEVELOPMENT SERVICES REQUIREMENT •
LiI, as owner of the property or my employees with wages as their sole Reinspection Fee ! $15 Issue Fee $ 3• Zoning Approved By Date 1'^
compensation, will do the work, and the structure is not intended or offeretl -
for sale (Section 7044, Business and Professional Code: The Contractor's MECHANICAL I FEES - Building Approved By Date %}
• License Law does not apply to an owner of a property who builds Or improves
thereon, and who does such work himself/herself or through his or her own Application Issued 6 y Date i5
Hood or T A
employees, provided that such improvements are not intended or offered for BoilerType I ❑
sale..If, however, the building or improvement is sold within one year of com- Canopy Type II ❑ • - . SUMMARY OF EE
- pletion, the owner will have the burden of proving he/she did not build or im- Duct-Under Ground t�
prove for the purpose of sale). , ' BUILDING PERMIT $ 3 ,00 SMIP $ • J
I: I, as owner of the property, am exclusively contracting with licensed con- Duct-Structural Refrigeration System $ I PERMIT
tractors to construct the project (Section 7044,Business and Professions Code: PLAN.CHECK. 1
The Contractor's License Law does not apply to an owner of property who Duct-Ventilating 100,000 BTU 0100,000 BTU PLUMBING '. $ / ISSUANCE $
builds or improves thereon. and who contracts for such oro sects with aeon- ./ ENERGY P.C. $
tractors) license pursuant to the Contractors License Law). I am aware that Exhaust System ❑ Multiple❑ System Repair/Alteration PLAN CHECK 25% $
proof of their Worker's Compensation insurance should be provided to me. ELECTRICAL $ Z-y•73 GRADING $
❑ I am exempt under Section B.& P.C.for this reason Firepl/Fact.Blt. ICBG# Fire Dampers MICROFILM $
PLAN CHECK 50% $
Date owner Heating System& Ducting Registers - MECHANICAL $ 3-5—
I
hereby certify that I have s.d t, appl�Iyyic��ation and state that the above 00-1 00,000 BTU 0100,000 BTL— TOTAL FEE $
Information is correct. I agr c�I'.ly i all>aLty and county ordinances PLAN CHECK 25% $
and state laws relating to inns i, on,andrsphereby authorize repre- ' Mr
sentatives of this city - ter po t Above- entioned property f°A
inspection purposes. / Y� •
Signatures ' Date C.- r •
-
Reins action Fee $15 Issue Fee $ 3 f"- r,n*,- r-,..fr.1 -F;- -
Drivers' Li tens •r S I - _ _ s
.,'f'_' ,1t_'
0865-46,rev. 5/88 White - Building: Canary -Applicant: Pink - Accounting; Goldenrod - Assessor " "
..
CONSTRUCTION AND PLANNING POOL &SPA i
• Date Inspector,;; Date Inspector
APPROVALS Permit# .Ii. o,, APPROVALS Permit #
t Temporary Electrical Service or Pole ' 52. Pool & Equipment Location •-r
2. Soil Pipe-Undrgrnd. ;( 53. Steel Reinforcement •
3.,Electrical Conduit Utility-Undrgrnd. Forms
4.'Electrical Conduit-Undrgrnd. frit-bp ./ 55. Electrical Bonding
5. Steer Reinforcement :,,-se.
Rough Plumbing & Pressure Test
6._Electr,icalUFERcGrnd. /-j sy A 57. APPROVAL TO COVER-GUNITE .
/ -/J
7'_ ngs'__
7'. - - '(jc7/,
•'/ , Ar/ 58. Electrical Conduit-Undrgrnd.
8` Fou dation III . !!!( 59. Gas Pipe, O Undrgrnd.,Test
•
9. Water Pipe-Undrgrnd. 60. Backwash Lines, P-Trap, 0 Undrgrnd.
• 10. Structural Floor System - - ,��
II 61. APPROVAL TO DECK
11. Property Sewer Line•& House Connection 62. Backwash &.Receptor-Final
r 12. Sewer'Cap- c, .; ' / ,' 63. Heater & Vent-Final
13. Roof Dra'in's 64. Plumbing System - Final C
•. .9 '7 '
14. Rough Plumbing - 65. Electrical-Final
15. Rough"Electrical-Conduit - ow:"6. Solar System-Final ^I
'16. Rough'Electric Wiring -Pile
A. 67. Fencing & Access Approval
r \b 1
'17.. R' ugh Wiring Sign 68. APPROVED FOR PLASTERING
18'. Rough Electrical-T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
X19. Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT
' 120. Rough Factory•'ireplace ( ( APPROVALS Permit#
21. Ducts, in Structure ' (• ' 70. Underground Hydro
•
22. Ducts, Ventilating N 71. Product Piping 0 Gas 0 Oil
23. Gas Pipe,Rough & Test 721 Underground Flush /
24: Roof Framing 2. ' .• 73. Undergrnd.Storage Tank 0 Gas 0Oil ••
25. Roofsfieathing' ' /; 74. Overhead Hydro
26. T-Bai Ceiling (Structural) '& Monocoat 75. Dry Chemical
27.jFrame.and Flashing _ _ 76. Dry Standpipe
:28. athin . Siding _-I .. / YOM /"y-p*i 77. FIXED SYSTEM FINAL
29. nsulaticn--r ! //Je/r - 78. FIRE PREY. FINAL
30. Drywall-Nailing a.- .t-. /t/yb HEALTH DEPT. REQUIREMENT
•
31. Plaster Brown Coat-a' : i - . ey 7(t- .‘, - 79. FINAL INSPECTION
32. Elect Tical Power Meter-Final ',Li
80. FOOD CERTIFICATE ISSUED
33. FinaRElectric '4 pil740 Notes�d on
4 �ivY3.04
/t/ -.
34. Final Heating & Air Conditioning �'",'
440 ¬ ,karst CA s
35. Final Gas Pipe-Test Da L L
=36. Hood or Canopy
- Cnere_c..?"a s /O-26y' Any j
37. Final•Factory Fireplace
co.✓L�� 0 7//Ze/4.q
-38. Final Plumbing fiat/ni * Oft 494,40(4D2 �C "ASS
•39. Water Service-Final ' - '!i//
40. Gas Service-Final A'
41. Solar Domestic-Final '
i
42. Backf low Preventer . 't• b
43. Backflow Irrigation, . _ '1.'4. a
44. Landscape Irrigation System �r.
45. Sound Attenuation
•
46. Handicap Regulations
t
47. FINAL STRUCTURE & BUILDING .S/ . , 'I, i
48. Special Requirements Completed (/'10
' 49. Electric Release to Edison '.J,
.
•50. Gas Release to Southern California Gas Co . .
•
51. CERTIFICATE OF OCCUPANCY - ' .
No. - Date
4
• PROJECT ADDRESS: 3100 TAFT WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO: P 046309
OWNERS NAME: ALLEN PECK - •
DRESSSAME
PERMIT NO: P 046309 PLAN CHECK NO: N. GOVT: N SUPP: N
• CONSTRUCTION TYPE: • PERMIT TYPE: PLU. • PURPOSE: OTH
758-0817
ARCH/ENGINEER: REG.ND.: JOB DESCRIPTION : PLUMBING FOR WASHER/ DRYER REF #BE39179. SQ FT: .
ADDRESS: UNIT:
CLAIM VALUE: CALL—VALUE: • . GROUP OCC : R-3 /
PERMITTEE: AL—OMAR CONST ( 714 ) 758-0817 -
ADDRESS: 1730 W LA PALMA ' M COMMENTS: REFER TO #BE39179
ANAHEIM CA 90000 • *******************************************************************************
LICENSED CONTRACTOR DECLARATION: I hereby affirm that 1 am licensed under provisions of Chapter 9(commencing with Section Z ONING R E Q U I R E. M E N T S
7000)of Division 3 of the Business and Professions Code,and license is in full force and effect. SETBACKS •
cm sec.: 0 4 8 0 5 3 STATE M.:52392 CLASS'
Date; 4 • r^ € D Signature: `��( MAIN BUILDING ACCESSORY BUILDING
WORKERS'COMPENSATION DECLARATION: afli
I hereby m that I have a certificate of consent to sell-Insure or a certificate of Workers' FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN
Compensation Insurance,or a certified copy thereof(Section 3800,Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN -
POucY NO.: 10 7 4 0 7 8—8 9 EXP.DATE: 05/01 /9 •
COMPANY: STATE PARKING REQ: PROV: PARCEL: 14169313 ZNE: REF NO:
❑ Certified copy is hereby furnished. ® Certified copy i f with the city Bud ng Division. PLANNING NOTES>
/� /� �/ >
. Date: ? 1 -- 9 0 Applicant: Ci—e-7--.7 !/ ***************************)E******************iE********************************
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be completed U the permit is for one hundred(S1C0)or less). , DEVELOPMENT .SERVICES' REQUIREMENTS
•
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. ZONING' APPROVED BY DATE: _ —
Date: - Signature: -
NOTICE:If,after malting this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : DATE
Code,you must forthwith oomph,with such provisions or this permit shall be deemed revoked. iE �i�dV
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED BY• Sir_ __ DATE: C/
which this permit is issued(Section 3097,CIv.C). ******************** . . ' - - - --*W.Yd'= '��>:a T.-S. 4.8,, *********
LENDER: • ***********************************1 - *********************************
• ADDRESS: LEGALIZATION:N F E E 1 M A R I -- STRUCTURAL SEGMENT:N
OWNER BUILDER DECLARATION: I hereby affirm that I am exempt from the Contractors'State License Law for thetollowing reason _ VLI)(3 PMT PLUMBING ELECTRIC . .CHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Processional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT - • 2 . 00 '
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed .251 SM I P/NON—RES
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business PLAN '
and Professions Code)or that he/she is exempt therefrom and the basis tor the alleged exemption.My violation of Section 7031.5 by
•
any applicant far a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). .ISSUE FEE 3 . 00
I, as owner of the properly or my employees with wages as their sole compensation, win do the work, and the BUILDING—DIV—, PERMIT - I$SU$ PLAN—f ECK TOTAL pAID DUE
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—--—> 2 . 00 j. 00 0 . 0 0 5 .00 5 . 0 0 . 0 0
does not apply to an owner of a property who builds or improves thereon,and who does such work himself/herself or through '
his or
improvement employees,
wees,providednthat
ot suchon,
entsrare
ell have tintended
he edrorooffered
forprovinsale.II,
e/she dihowevernot r the buor ilding or REVENUE DIVISION TOTALS--> COLLECTED • 5 .00 OVER/SHORT: 00
ve
for the purpose of sate). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
5 . 00
I.as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business '
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware • • **********************************'N********************************************
that proof of their Worker's Compensation insurance shoutd be provided to me. INDIVIDUAL F E E BREAKDOWN •
❑ I am exempt under Section: B.S P.C. -
tor this reason: TYPE QTY DESCRIPTION UNIT COST TOTAL COST
Date: OwnerPLU . 1 LAUNDRY TUB OR WASHER 2 . 00 2 . 00
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,;25533,and . END OF FEES •
25534 and that I or any future building occupant willwlll not(circle one)need to comply with said state codes and the requirements for a - .
permit for construction or modification from the An Ouahty Management District.Residential construction applications are exempt from '
these provisions. •
Date: Applicant: ,
•
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county .
•
ordinances and state laws relating to building construction and hereby autho' epresentatives of thu ' to enter upon the above-mentioned .
property for inspection purposes.
90 i
I //��
ale: Signature: t l/ ,
•
m 7
Driver's License or Social Security A: 01 00055144-00055144 TOT 5.00DATE: 03/01/90 TIME: 10:14
1641-46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor • - -
. . k j
•
CONSTRUCTION AND PLANNING • - POOL & SPA -
APPROVALS Permit - - Date Inspector APPROVALS Permit Date Inspector
1. Temporary Electrical Service or Pole_.v 52. Pool & Equipment Location
2.. Soil Pipe-Undrgrnd. -4.-i<- 53. Steel Reinforcement
3.-ElectritalConduit"Gtility-Undrgrnd. 54. Forms
- a. Electrical Cond naTogrgrnd. 55. Electrical Bonding
. 5. Steel Reinforcement •- • 56. Rough Plumbing & Pressure Test .z
6. Electrical UFER"Grnd. - 57. APPROVAL TO COVER-GUNITE -,
- 7. Footings _w - • 58. Electrical Conduit-Undrgrnd.
8. Foundation 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. _ 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System "-' 61. APPROVAL TO DECK
11. Property Sewer Lin&& HoUse Conriection 62. Backwash & Receptor-Final
12. Sewer Cap - .• 63. Heater & Vent-Final
13. Roof Drains - .. 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
s
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric:Wiring 67. Fencing & Access Approval
17. Rough Wiring Sign 68. APPROVED FOR PLASTERING
18. Rough Electrical-I Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19. Rough Heating &,Air Conditioning .__ (77. _FIRE DEPT. REQUIREMENT _
20.-Rogh Factory Fireplace = � - - .=; . -APPROVALS_,-Permit # -
21.-Ducts, in•Structurey _ - _' r,� j, ?70. Underground Hydro `
22._Duets, Ventilating . -- w F • - 1,71. Product-Piping 0Gas :foil
23.•Gas'Plpe•Rough &Test ' -• r C`" ' 774• UndergroundFIu'sh iii
24'Roof Framing '-^v l ' d: -A t 7.73-Undergrnd.StoregeTanlJDGas 0Oil
25. Roof Sheathing t. - ^• s 74 Overhead Hydro,._+ . .
26-T-Bar Ceiling (Structural) &-MoE .riocoat t c - "r , . 75:v it :- Dry Chemical •..., r,
27.•Frame and Flashing { =-+ t. 76. Dry Standpipe ^ _
X28. Lathing.& Siding;.. I '7 _ r T ..it y 77 FIXED SYSTEM FINAL _
"29. Insulation " y - I l;"t Y 785.,FIRE PREV. FIN�,'L ^ -:- - '-
•
-30. Drywall Nailing ` * _ : U / r� + `; HH�
EALTDEPT. REQUIREMENT
=31. Plaster Brown Coat' T " r79. FINAL INSPECTION _ T
Z32 -Electrical Power Meter-Final -t * r80:`.FOOD CERTIFICATE ISSUED_
M.33.`=Final Electric
-: ...
ti. _ * ! Notes: r
' 34. Pinel Heating,& Aii Conditioning * i . s'1' F. - ` J
35. Final Gas Pipe-Test,. . .. ♦ - �7 :F. ,_ -
.7;36_Hood or.Canopy r7
- s_ �` :i . •_Y = r
a 1. I -I- :.
-37.•Final Factory Fireplaces_ -:• - •
...••
-38. Final Plumbin 1 k -
.39. Water Service-Final: s- et = >-• rL x
I-40. Gas Service-Final '' ", S k i 4 ? _ _• A
.J 4
t41. Solar Domestic-Finai r+l �. r =0 - 7:.- .
42. Backflow Preventer' io ` I •• * ""
x,„ -' .-, .* * r. r!,` ,-
43. Backflow Irrition.: >+- ••• * ••_
• 444._ Landscape Irrigation System'. i :_ : C ` "° ' ' - ^ C. x• - a
-45:-Sound !Attenuation: r. :
' PROJECTAODRESS: 3100 TAFT WY UNIT: CITY OF COSTA MESA — BUILDING PERMIT PERM NO:: P 046227
OWNER'S NAME: ALLEN— PECK •
ADOREss: $AME PERMIT NO: P 046227 PLAN CHECK NO: N GOVT: N SUPP : N ,
CONSTRUCTION TYPE: PERMIT TYPE: FLU PURPOSE: 0TH
758-0817
ARCH/ENGINEER: RE0.N0.: JOB DESCRIPTION : PLUMBING FOR BATHROOM,REFER TO kBE39179 SQ FT:
' ADDRESS: UNIT: '
CLAIM VALUE: . CALC—VALUE: ' GROUP OCC : /
PRM E: AL—OMAR CONST ( 714 ) 758-0817 •
1730 W 'LLA PALMA M COMMENTS : REFER TO kBE39179
ANAHEIM CA 90000 • ****->E###****##*#at*** #*##%• #######x#x##*%-x#####atx ******%############*st#%###x•**
UCENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section Z ON INC R •E Q U IR EMENTS •
7000)of Division 3 of the Business and Professions Code,and my license is in lull ce and effect. S ETBACKS
CIry uC':0 4 8((��5 3 sipTE�C.: 23921 Cuss:.{ /� • k.
Date: /o�Z ' I Signature: e- G —" MAIN flOILDING — ACCF.SSURY ' BUILDING —
WORKER COMPENSATION DECLARATION: I hereby affirm I I have a certificate of consent to self-insure or a certificate of Workers FRNT: FT IN REAR: FT IN. FRNT: •FT IN REAR: . FT IN
Compensation Insurance,or a certified copy thereof(Section 3800.Lab.C). LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN
POUCYxm.: 10740 78-89 EXP.DATE: 05/01 /90
COMPANY: STATE PARKING REQ: PROV: PARCEL : 14169313 ZNE: REF NO:
D Certified copy is hereby furnished. p Certified copy is a •th the c' ;ding Division. PLANNING NOTES>
Oats: O P.422- -•%// 1 Applicant. C J ***#**IE****#*iF*******#iE##*#******k***#*****#*it*1E*#*#*Yf*>.**iE*lie****iE*##*##***x-***
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (This section need not be competed if the permit is for one hundred(3100)or less). D E V E L O P M F N T S E R V I C E S.' ' R EQUIREMENTS •
I certify that in the performance of the work for which this permit is issued;1 shall not employ any person in any manner so as to become
subject to the Workers'Compensation Laws of California. 1. ZONING APPROVED BY DATE :
Date: • Signature: •— — — _—,--
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY _ ,_ ,_ — 'x __ DATE: _
Code,you must forthwith comply with such provisions or this permit shall be deyemed revoked. .
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: Afilli • DATE:2 2Z
#
which this permit is issued(Section 3097,Civ.C). ********************** TF '*** • 71W-4-77*****:�F**#**W **** **
UNDER: ************************if*********if****************%**************************%
ADDRESS: - • - LEGALIZATION:N F E E SUMMARY .. STRUCTURAL SEGMENT: N
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State license Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: Any city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 6,00 .
repair any structure,prior to its issuance,also requires the applicant for such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business 25* SMIP/NON—RES
and Professions Code)or that he/she is exempt therefrom and the basis for the alleged exemption.My violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500). ISSUE FEE 3 . 00
I, as owner of the properly or my employees with wages as their sole compensation, will do the work, and the 'BUILD.ING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE.
❑ structure is not intended or offered for sale(Section 7044,Business and Professional Code: The Contractors'State License Law TOTALS—-.——> 6 . 00 - 3 . 00 - 0 . 00. ' 9 . 00 ' 9 . 00 . 00
does not apply to an owner of a property who builds or Improves thereon,and who does such work himself/herself or through -
his or her own employees,provided that such improvements are not intended or offered for sale. If,however the building or _ ^ • •
improvement
epurNn one year of completion,the owner wit have the burden of proving he/she did not build or improve REVENtJE �TUN TOTALS PLUMBING ELECl'RICCOLLECTED :
IC 9 . 00
SMIPO/TOT/S GR
for the pose of sae). BLDG PMT ADING PLANCHECK
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 9 . 00
❑ •and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon •
and who contracts for such projects with acontractor(s)license pursuant to the Contractors'State License Law).I am aware ***********************************#****************x.**************************
that proof of their Worker's Compensation insurance should be provided to me. I N D IV IDUAL F E E B R EAKDOWN
❑ I am exempt under Section: B.8 P.C. ,
for this reason: TYPE QTY DESCRIPTIO N UNIT COST TOTAL COST
Date: • OwnerPLO 1 SHOWER . 00 7. . 00 •
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and PLO 1 I4ASH BA S T N 2 . 0 0 2 . 0 0
25534 and that I or any future building occupant will/will not(circle one)need to comply with said state codes and the requirements.for a
permit for construction or modification from the Air uality L Management District.Residential construction applications are exempt from L U 1 HATER ER C L O S E'P (TOILET) 2 . 00 2 . 00
these provisions. END OF FEES
•
Date: Applicant:
I hereby certify that I have read this application and state that the above information is correct.I agree to comply with all city and county
ordinances and state laws relating to building construction and her by authorize re ntatives of this city the abovemenlioned�
property for inspection purposes: / /�� '
Date: 02". PCK ' 90 1 Signature: '7� / e- Di 00054710-09054710 TOT 9.00
Driver's License or Sad1.
Social Security A: DATE:-02/22/90 TINE: 16:13
1641-46 White—Building:Green—Code Enforcement;Canary—Applicant;Pink—Revenue;Goldenrod—Assessor - . ' '
CONSTRUCTION AND PLANNING POOL& SPA
• APPROVALS Permit# Date Inspector APPROVALS Permit # Date Inspector
.1.:Temporary Electrical Service or Pole • 52. Pool& Equipment Location
2e Soil Pipe-Undrgrnd. stilt to) 53. Steel Reinforcement
•3..Electrical Conduit Utility-Undrgrnd. 54. Forms
44. Electrical Conduit-Undrgrnd. 55. Electrical Bonding
5. Steel Reinforcement • 56. Rough Plumbing & Pressure Test
6. Electrical UFER Grnd. 57. APPROVAL TO COVER-GUNITE
7. Footings 58. Electrical Conduit-Undrgrnd.
8. Foundation . • 59. Gas Pipe, 0 Undrgrnd., Test
9. Water Pipe-Undrgrnd. 3(l4Q,0 (40 60. Backwash Lines, P-Trap, 0 Undrgrnd.
10. Structural Floor System 61. APPROVAL TO DECK
11. Property Sewer Line & House Connection -�/�(go Dap 62. Backwash & Receptor-Final
12. Sewer Cap • "i 63. Heater & Vent-Final
13. Roof Drains 64. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical-Conduit 66. Solar System-Final
16. Rough Electric Wiring 67. Fencing & Access Approval •
17. Rough Wiring $ign 68. APPROVED FOR PLASTERING
18. Rough Electrical-T Bar Ceiling • 69. POOL/SPA SYSTEMS FINAL
19. Rough Healing & Air Conditioning FIRE DEPT. REQUIREMENT
20. Rough Factory Fireplace APPROVALS Permit#
21. Ducts, in Structure 70. Underground Hydro
22. Ducts, Ventilating 71. Product:Piping 0 Gas 0 Oil
23. Gas Pipe-Rough & Test 72. Underground Flush
24. Roof Framing - 73. •Undergrnd.Storage Tank 0 Gas 0 Oil
25. Roof Sheathing 74. Overhead Hydro _
26. T-Bar Ceiling (Structural) & Monocoat 75. Dry Chemical
27. Frame and Flashing - • 76. Dry Standpipe
28. Lathing& Siding 77. FIXED SYSTEM FINAL.
29. Insulation 78. FIRE PREV. FINAL
•
30. Drywall Nailing r HEALTH DEPT, REQUIREMENT
31. Plaster Brown Coat 79. FINAL INSPECTION
32. Electrical Power Meter-Final , 80. FOOD CERTIFICATE ISSUED
33. Final Electric Notes:5.27_ 94, 7g. mXI_ . P�
34. Final Heating & Air Conditioning
35. Final Gas Pipe-Test -
36. Hood or Canopy • . •
37. Final Factory Fireplace
38. Final Plumbing 3/3 44° lits)
39. Water Service-Final •,
40. Gas Service-Final •
41. Solar Domestic-Final
42. Backflow Preventer
43. Backflow Irrigation
44. Landscape Irrigation System -
45. Sound Attenuation •
46. Handicap Regulations •
47. FINAL STRUCTURE & BUILDING
48. FINAL PLANNING
49. Electric Release to Edison '
50. Gas Release to Southern California Gas Co
51. CERTIFICATE OF OCCUPANCY
No. Date
•
• PRO3FCTAODRE33: 3100 TAFT WY UNIT: CITY OF COSTA MESA. — BUILDING PERMIT PERM NO: E 045881 • ,
• OWNER'S NAME: ALLEN PECK -
•
, AODtSS SAME PERMIT NO: E 045881, PLAN CHECK NO: N GOVT: N SUPP : Y
CONSTRUCTION TYPE: PERMIT TYPE: ELE PURPOSE: OTH
758-0817
ARCH/ENGINEER: flEG.NO.: • JODDESCRIPTION : SERVICE UPGRADE FOR ROOM ADD- SQ FT-:- •
F ADDRESS: UNIT:
' CLAIM VALUE: CALC—VALUE: • GROUP OCC:
• PERMITTEE: AL—OMAR CONST ( 714 ) 758-0817 •
-
r ADDRESS: 1730 W LA PALMA M COMMENTS : REFER TO #BE39179
ANAHEIM CA 90000 ******•x-******x****ieeE+e*******x*********9t*9Eet- **+t**ae***+e•x9E**9F*9e***9aaE*x-***9E9d-****9g*->F
LICENSED CONTRACTOR DECLARATION: I hereby affirm that I am licensed under provision bapter 9(commen • with Section ZONING R EQU IR EMENTS
7000)of Division 3 of the Business and Professions Code,and my lice a is in full force effect. S E T H A C K S
CITY tic.:048 3 STATE M.:523921 /fuss:B / l •
Date:____/ t90� Signature: / �� ."-. ( ----'—" MAIN BUILDING ACCESSORY BUILDING - ---•-----
`I WORKERS'COMPENSATION DECLARATION: I hereby affirm that I have a cert irate of consent to self-Insure or a certificate of Workers' FRNT: ' FT IN REAR: FT IN FRNT: FT IN REAR: FT IN •
Compensation Insurance,or a certified copy thereof`Section 3800,Lab.C). LEFT: FT IN RGHT: . FT IN LEFT: FT IN RGHT: FT IN POLICY x0.: 1079078-89 EXP.DATE: 05/0 I 0
coMPANr: STATEL%''�� . PARKING REQ: PAOV: PARCEL : 14169313 ZNE: REF NO:
O Certified copy is hereby furnished.hed. Certified copy i f with the citydingDivision. PLANNING NOT E$> •
/,/ry ( >
Dare: I". .2- /yn - 90 `Applicant, e� — L **it***5****�E*********************7E******k*****************lE******** *iE*******I(.** •
EXEMPTION FROM WORKERS'COMPENSATION DECLARATION: (ibis section need not be completed B the permit is for one hundred(51110)or less). DEVELOPMENT SERVICES REQUIREMENTS . •
I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner so as to become .
subject to the Workers'Compensation Laws of California. ZONING APPROVED BY •
DATE:
Date: • Signature: - • - - - .
NOTICE:If,after making this declaration,you should become subject to the Workers'Compensation provisions of the Labor BUILDING APPROVED BY : _ DATE: _ '
Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. ,
CONSTRUCTION LENDING AGENCY: I hereby affirm that there is a construction lending agency for the performance of the work for APPLICATION ISSUED B Y: DATE: 2- ,— D
which this permit is issued(Section 3097,Civ.C). ***************************3nn*
* ******** * *********9E*******.*** **
LENDER: • *******************************************************************************
AODRES - LEGALIZATION:N - F E E SUMMARY STRUCTURAL SEGMENT:N
•
OWNER BUILDER DECLARATION: I hereby affirm that l am exempt from the Contractors'State License Law for the following reason BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING
(Section 7031.5 Business and Professional Code: My city of county which requires a permit to construct,alter,improve,demolish,or PERMIT 18 . 50
repair any structure,prior to its issuance,also requires the applicant far such permit to file a signed statement that he/she is licensed
pursuant to the provisions of the Contractors'State License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business - 50% • SMIP/NON—RES
and Professions Code)or that he/she.is exempt therefrom and the basis for the alleged exemption.Any violation of Section 7031.5 by PLAN
any applicant for a permit subjects the applicant to a civil penalty of not more than live hundred dollars($500). - ISSUE FEE4 . 50
as owner of the property or my employees with wages as their sole compensation, will do the work, and the BUILDING—DIV—> PERMIT ' ISSUE PLAN—CHECK TOTAL . PAID DUE
❑ structure is not intended or offered for sale(Section 7044.Business and Professional Code: The Contractors'State License Law TOTALS————> 18 . 50 4 . 50 0 . 00 23 . 00 23 . 00 . 00
does not apply to an owner.of a property`who builds or improves thereon,and who does such work himself/herself or through
his or her own employees,provided that such improvements are not intended or offered for sale.If,however the building or
improvement is sold witlon one year of completion,the owner will have the burden of proving he/she did not build or improve REVENUE DIVISION TOTALS——> ' COLLECTED : 23 . 00 OVER/SHORTc . 00
for the purpose of sale). BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK
•
I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Section 7044,Business 23 . 00
-
❑ and Professions Code: The Contractors'State License Law does not apply to an owner of property who builds or improves thereon
and who contracts for such projects with a contractor(s)license pursuant to the Contractors'State License Law).l am aware *******************.*.sc*.*****..**.*.*.***.*.N.*.**********************************.ye**** ..**
that proof of their Worker's Compensation Insurance should be provided to me. -
❑ am exempt under Section: B.&P.C. I N D I V I D U A, L F E E B R E A K D O 14 N
for this reason: • TYPE QTY D E S C R I. P T I O N UNIT COST TOTAL COST ,
Date: Owner: ELE 1 SERVICES BELOW 600 V & BELOW 200 AMP 18 . 50 18 . 50
I do hereby certify that I am aware of and understand the requirements of California Health and Safety Code Sections 25505,25533,and END O F FEES 25534 and that I or any future beading occupant wilVwill not(circle one)need to comply with said state codes and the requirements for a •
permit for construction or modification from the Air Duality Management District.Residential construction applications are exempt from -
these provisions.
Date: • Applicant: •
I hereby certify that I have read this application and state that the above information is c ct.I agree to comply wit all city and county
ordinances and state laws relating to building construction and her thorize represe es city to enter u e above•mentioned '
properly for inspection purposes. /
Date:
a.q.-q9 l Signature: 01 00052396 00052896 TOT 23.00
Drivers license or Social Security x: DATE: 01/29/90 TIME: 14:27
• 1641-46 White—Building;Green—Code Enforcement,Canary—Applicant:Pink—Revenue;Goldenrod—Assessor - -
CONSTRUCTION AND PLANNING • POOL & SPA
APPROVALS Permit # Date Inspector APPROVALS Permit # Date Inspector
-
1.. Temporary Electrical Service or Pole . 52. Pool & Equipment Location .
2r toil Pipe-Undrgrnd.;, . , -, . 53. Steel Reinforcement
• 3.=Electrical Conduit'Utility-Undrgrnd: 54. Forms
4. Electrical Conduit-Undrgrnd. ;, - 55. Electrical Bonding
5. Steel Reinforcement - 56. Rough Plumbing & Pressure Test - -
- 6. Electrical UF ER Grnd. 57. APPROVAL TO COVER-GUNITE
;47. Footings - 58. Electrical Conduit-Undrgrnd.
-
8. Foundation .,- - 59. Gas Pipe, 0 Undrgrnd.,Test -
9. Water Pipe-Undrgrnd. - 60. Backwash Lines, P-Trap, 0 Undrgrnd.•
10. Structural Floor System 61. APPROVAL TO DECK
11., Property Sewer Line & House Connection 62. Backwash & Receptor-Final - - -
•
12. Sewer Cap • / 63. Heater & Vent-Finalt
-
13. Roof Drains :� 64.. Plumbing System - Final
14. Rough Plumbing 65. Electrical-Final
15. Rough Electrical •
-Conduit - - •66. Solar System-Final
i
16. Rough Electric.Wiring ,- 67. Fencing & Access Approval
17. Rough Wiring Sign di 68. APPROVED FOR PLASTERING
18. Rough Electrical-7 Bar Ceiling 69. POOL/SPA SYSTEMS FINAL
19.=Rough Heating &.Air Conditioning < - _ ,FIRE DEPT. REQUIREMENT
20:-Rough Factory Fireplace - = . : ; ., 'APPROVALS-- Permit#
21.Ducts, iri Stricture - 's : -70. Underground'Hydro ;
22. Ducts, Ventilating „, j • ' :--- i 71. Product:Piping 0 Gas 0.0il
23.'Gas Pipe-Rough & Test ._ - . " ' 772. Underground Flush
24. Roof Framing I : ' t • . '.73.:Undergrnd.Storage-Tank 0 Gas 0 Oil
25._Roof Sheathing - _ _• 74. Overhead Hydro
26: T-Bar Ceiling (Structural) &-MOnocoat , r r-• 75. Dry Chemical .. .
27. Frame and Flashing _ _ � ' 76. Dry Standpipe
C28. Lathing:& Siding. - y` 77.--(FIXED SYSTEM FINAL -
29. Insulation - .. _ c ' 78=-FIRE PREV. FINAL
30. Drywall-Nailing - - :, HEALTH DEPT. REQUIREMENT
▪31. Plaster Brown'Coat: - ' - i7INAL INSPECTION• ' __ .
.32.=Electrical Power Meter-Final /0-09 (V.': . FOOD CERTIFICATE ISSUED
J
X33:-Final Electric " � .,C: Notes: i
34. Sinal Heating;& Air Conditioning _ -
35. Final Gas Pipe-Test ' .. . " _ •
-36. HoOd or Canopy _ _
-37. Final Factory Fireplace- - - r • - -
:38. Final Plumbing 7 _ - _ c-: -
39. Water Service-Final. ; i •
40. Gas Service-Final ' - - - -.
i
"41. Solar Domestic-Final -
" -
•
42. Backflow Preventer• - -
43. Backf low Irrigation' - -
;,44.-Landscape Irrigation System. `' '-� ;' _
45.-.Sound Attenuation
46. Handicap Regulations - - - -
47. FINAL STRUCTURE & BUILDINGI-
, r . -
48.FINAL PLANNING • ' I -
;49. Electric Release to Edison r
50.-Gas Release to Southern California Gas Co
-51. CERTIFICATE OF'OCCUPANCY --
NO. Date
OWNER NORTHGATE HOMES DATE JAN 2 2 1964
JOB ADDRESS 3100 Taft Way BUILDING PERMIT NO. 21466 -
GENERAL CONTRACTOR Bonser Const. , Inc. VALUE $ 14,785.80
AP No. LOT 7 TRACT 5005 FIRE ZONE 3 DESCRIPTION OF WORK Res. & At. Gar
INSPECTIONS Signature DATE GROUP Ieaa TYPE V ZONE R1
Soil =e2—/IV-440 PERMITS ISSUED
Gas �/ // SUBCONTRACTOR I--
NUMBER
Water d l� LI--3-o < � ' I -/
Rough dom. 1 efrig. f4 Air Cond. 0
Rough Heating occW .„-DC-Cv VC•� -r , ',4—\'-1101--1 2 ESR 3 —
Rough Plumbing /1///-S Z� 6g , -- Gum [;..-/- /-24 6W• /./ori.. /,.J 4"a3/9
Miscellaneous fr
Prop. Swr. Line I: House Con. 0 St. Swr. 0 S -A7-G lakes, ' _ _ iet '2y LHc k k\\\q lA".ii
Sprinkling Syste ' /
Construction Pole 51l
Underground 0 Power 0
Rough wiring a 2 - -Cf/ M ,e5. Rnt^r) --aG -1-16-1 ' \L-llfl
Trenches Forms Q9 Steel Reinf. % t/
Floor System
Bond Beam 0 Steel Reinforce 0
Sheathing f L,/ VFrame and Flashing ,0 l 3/-? ,/1
Lathing— In sago but a- j_/ t/
Plaster, brown coat R 4-R-6 r
Refrig. 0 Air Con. 0 Final
Heating, Final S'/ -49
Plumbing Fixtures, Final Wig
Final Gas Test to If
Wi
Electric Fixtures, Final Y,3G'LY
Building, Final (-7 V--C7'
OCCUPANCY •
Form BU4-5M-3-63—S-B P 21(
21466 FEE RECEIVED
COSTA MESA BUILDING-SAFETY DEPARTMENT JAN 2 2 1964-
P.O.BOX 317 COSTA MESA,CALIFORNIA PY��AFyINncANC�E�qtDT.
N
eEP
For Applicant to Fill In Completely APTION"Ft4RAYMI T
TYPE OR PRINT BUILDING
BUILDING For Office Use Only
ADDRESS 3100 Taft Way
RECEIPT NO. /T -NO�
COSTA MESA. CALIFORNIA /L/
R8C8IV8p BY p^T-CBIVED DATE ISSUEDC 4
OWNER Northgate Homes NG / �(/O
BUILDING
MAIL 15939 Las Flores ADDRESS
ADDRESS
FIRE
CITY Fountain Valley NTE w"31-6792ONE TYPE GROUP
APPROVED
ARCHITECT TEL. BY DATE
OR ENGINEER C. Hiller No.HE52007 - t
ZONING L IICQ
ADDRESS Anaheim c"` ' • y
ZONv 1 I
NO.PLANS B
OP UUS80PN8 L, I I(
, ILDING
CONTRACTOR Bonser Const. Inc. WWW; . �
T LEGAL SDJ✓'
ADDRESS 15439 Las Flores DESCRIPTION
CITY Fountain Valley A.P.ND.
NOTE: NO HAVE OVERHANG SHALL BE LESS THAN
STALIC.NO. 215049 T./E475316792 3O TO SIDE&REAR P.L.
SA EAVES
SIZE 1 NO.OP BLDOOF LOT 11X116 NOW ON I,OT •••
ALLOWED (U.B.C.REQUIREMENT)
YARDS APPROVED YARDS APPROVED
USE
UX SOO NG BLDG. noneMAIN BUILDING . ACCESSORY BUILDING
"r (FROM Cil... REET)
SETBACK LINE FROM 50 1 REAR YARD FRQNT�j�q-JFT. S D FT.
CENTER OF STREET gl-
SIDE YARD I LEFT 5 1 I RIGHT 13 I N. ID
SI FT. -5 AJ / O
FT.
DESCRIPTION OF WORK L.SIDE FT/ n_�O 61 ' .3 FT.
I f
NEW X ALTERATION _ ADDITION REAR FT.�� ( r FT.
DISTANCE BHT. BET.MAIN Q
REPAIR MOYING DEMOLISH MAIN BLDOS. ACCESS.BLOCS.
BUILDING NO.OF YJ VAR.�j DATE
SIZE ROOMS 7/ STORIES 2 C.U.P.# _:Ni APPROVED
EXTERIOR WiALL
COVERING' neoO COVERING shingel BYROOFPROVH DATE / _ (`
USH OF BILDI AND WORK TO SE PER MED
single ram. res. w.a . gar. (�7--
Gid-
_
. (f (3 n, '5,20Y�GI N/` L+ SQ.FT.Z
G
I HEREBY ACKNOWLEDG=.. ••AT I - VE READ THIS APPLICATION THE AMOUNT SHOWN UNDER VALUATION IS FOR THE F•
AND STATE T - IS C•RRECT AND AGREE TO COM- PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. G
•
PLY WITH LL CITY a '... D STATE LAWS REGULATING
BUILDIN• CONSTR VALUATION 1,y��. /�/,./� q
SIGNAT -E0_....: Al P `71 7,��.. PERMIT FEE $'¢R+ i Q '� m
PERMITT- —�'.-
V.44:19-- Cf PLAN CHECK SOP �o
AUTHORIZED AGENT I '] > I
TOTAL FEE Ta.Fco